When a Medicare patient has multiple sources of insurance coverage, Medicare will only pay for services after the primary payer has processed the claim and made their payment. Medical office staff must always verify the patient's insurance coverage thoroughly - gathering all necessary information from the primary insurance, such as policy numbers, claim submission instructions, and any preauthorization requirements, etc.
Topics: Practice cash flow, payer contract, carrier contract, carrier contract guidelines, medicare compliance, patient billing, claims, insurance
Contract review is a delicate dance but doing your homework and negotiating for a better deal helps to achieve a better outcome, says healthcare attorney, Heidi Kocher, JD, MBA, CHC, of DC-based Law Firm, Liles Parker. Before you start the negotiation process, here are a few things to consider.
Topics: Practice management, contract negotiation, payer contract, carrier contract, value proposition, carrier contract guidelines, Heidi Kocher, medical practice benchmarking